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Table 2 Diagnostic measures of single PETS ranked by DOR

From: Physical examination tests of the shoulder: a systematic review and meta-analysis of diagnostic test performance

PETS category

Single PETS

No. of studies

Pooleda results (95% CI)

Accuracy rank

Likelihood ratiosc

Sensitivity

Specificity

DOR

Accuracyb

positive/negative

SLAP

Compression-rotation

2

0.43 (0.31, 0.56)

0.89 (0.67, 0.97)

6.36 (1.41, 28.59)

0.68 (0.59, 0.77)

1

3.91/0.64

Yergason

3

0.20 (0.13, 0.30)

0.92 (0.81, 0.97)

2.91 (0.94, 9.08)

0.59 (0.54, 0.65)

3

2.50/0.87

Anterior apprehension

2

0.74 (0.61, 0.84)

0.45 (0.35, 0.55)

2.29 (1.12, 4.69)

0.51 (0.51, 0.66)

4

1.35/0.58

Crank

2

0.46 (0.33, 0.60)

0.72 (0.54, 0.85)

2.18 (0.82, 5.78)

0.60 (0.49, 0.71)

2

1.64/0.75

Speed

3

0.20 (0.11, 0.32)

0.88 (0.73, 0.95)

1.73 (0.53, 5.65)

0.57 (0.49, 0.64)

5

1.67/0.91

Relocation

2

0.61 (0.48, 0.72)

0.47 (0.37, 0.57)

1.36 (0.69, 2.66)

0.53 (0.45, 0.61)

6

1.15/0.83

O'Brien

3

0.66 (0.55, 0.75)

0.36 (0.21, 0.55)

1.10 (0.46, 2.60)

0.50 (0.39, 0,60)

9

1.03/0.94

Bicipital groove tenderness

2

0.26 (0.17, 0.37)

0.74 (0.63, 0.82)

0.98 (0.47, 2.05)

0.52 (0.45, 0.59)

7

1.00/1.00

Kibler/anterior slide

2

0.10 (0.04, 0.23)

0.85 (0.73, 0.93)

0.61 (0.17, 2.23)

0.51 (0.44, 0.57)

8

0.67/1.06

SIS

Hawkins-Kennedy

2

0.58 (0.50, 0.66)

0.67 (0.47, 0.83)

2.86 (1.14, 7.17)

0.60 (0.53, 0.68)

1

1.76/0.63

Neer

2

0.59 (0.52, 0.67)

0.60 (0.40, 0.77)

2.17 (0.91, 5.19)

0.59 (0.52, 0.67)

2

1.48/0.68

RCTd

Any full thickness RCT

2

0.74 (0.39, 0.92)

0.77 (0.69, 0.83)

9.24 (1.99, 42.84)

0.76 (0.63, 0.88)

NA

3.22/0.63

Supraspinatus full thickness only

2

0.60 (0.46, 0.72)

0.70 (0.61, 0.78)

3.50 (1.74, 7.02)

0.66 (0.58, 0.73)

NA

2.00/0.57

Any RCT

3

0.60 (0.52, 0.68)

0.63 (0.55, 0.71)

2.63 (1.62, 4.27)

0.62 (0.56, 0.68)

NA

1.62/0.63

  1. PETS physical examination tests of the shoulder, DOR diagnostic odds ratio, SLAP superior labrum anterior superior, SIS subacromial impingement, RCT rotator cuff tear
  2. aCalculated by a fixed effect model
  3. bBased on average prevalences: 0.456 for SLAP lesions tests, 0.767 for SIS tests and 0.422 for the RCT test
  4. cCalculated from pooled sensitivity and specificity
  5. dPooling was only possible for the Supraspinatus test (= Empty can test = Jobe's test); Weakness indicates positive test
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BMC Musculoskeletal Disorders

ISSN: 1471-2474

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